Amendment_No._0005_to_RFP_No._FA5205-13-R-0005_All_Docs.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

See schedule

POC: Satoshi Nogaw a, Mr.

DSN#: 226-3496

Commercial#: 0176-77-3496 E-mail Address: satoshi.nogaw a.jp@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 11-Apr-2013

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA5205-13-R-0005

X 9B. DATED (SEE ITEM 11)

01-Feb-2013

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

11-Apr-2013

CODE

35 CONS/LGC (JAPAN)

DODAAC: FA5205

BLDG. 656, MISAWA AIR BASE

MISAWA-SHI, AOMORI-KEN 033-0012

FA5205 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5205-13-R-0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

This amendment adds a list of CFUSM (Contractor Est. Qty) to the subject solicitation for offerors' submission.

The offer submission due date of ″02:00PM″ on ″17 Apr 2013″ (Japan Standard Time) remains unchanged.

(a) The attached list of CFUSM (Contractor Est. Qty) is hereby added to the subject solicitation. The offeror must complete the fill-ins of the list and submit along with the proposal. The list submitted by successful offeror will become a part of the resulting contract as Attachment 5-1, List of Contractor - Furnished U.S. Material (CFUSM) (Contractor Est. Qty), as examined and accepted by the U.S. Government. The quantities and/or unit prices on the list may be revised as a result of discussions, if discussions are held.

(b) No other change is made under this amendment.

Attachment:

1. List of Contractor - Furnished U.S. Material (CFUSM) (Contractor Est. Qty)

Attachment 1

Amendment No. FA5205-13-R-0005-0005 Atch 1

LIST OF CONTRACTOR – FURNISHED U.S. MATERIAL (CFUSM) (Contractor Est. Qty)

Offeror’s Name: ___________________________

Date: ___________

Project: QKKA 11-1200P2, REPR Airfield Lighting System, Misawa AB, Japan

Area 1:

Item No. Nomenclature Est. QTY Unit Price Est. Line Total

0001 Cable 1/C #8 AWG 5KV Type C ________ M ¥___________ ¥____________

0002 Cable 1/C #6 AWG 5KV Type C ________ M ¥___________ ¥____________

0003 LED L-861T Elevated Taxi Light ________ EA ¥___________ ¥____________ Fixture & Transformer w/Base Plate & Can

0004 L-867 Size D Junction Can w/Plate ________ EA ¥___________ ¥____________

0005 L-858 Taxiway Sign w/L-867 Base ________ EA ¥___________ ¥____________ Transformer

0006 L-858 Taxiway Sign w/L-867 Base ________ EA ¥___________ ¥____________ Transformer w/4 Modules

0007 Isolation Transformer for LED ________ EA ¥___________ ¥____________ Taxiway Edge Light

Est. Total Amount of Area 1 ¥____________

Area 2:

0001 Cable 1/C #8 AWG 5KV Type C ________ M ¥___________ ¥____________

0002 Cable 1/C #6 AWG 5KV Type C ________ M ¥___________ ¥____________

*0003 LED L-861T Elevated Taxi Light *55 EA ¥___________ ¥____________ Fixture & Transformer w/Base Plate *See Remark in the List of CFUSM, Attachment 5 of RFP No. FA5205-13-R-0005.

0004 LED L-861T Elevated Taxi Edge ________ EA ¥___________ ¥____________ Light Fixture & Transformer w/Base Plate & Can

0005 L-867 Size D Junction Can w/Plate ________ EA ¥___________ ¥____________

0006 L-858 Taxiway Sign w/L867 Base ________ EA ¥___________ ¥____________ Transformer w/2 Modules

0007 LED L-852T Semi Flush Taxiway ________ EA ¥___________ ¥____________

Edge Light w/Transformer Offeror’s Name: ___________________________

Date: ___________

0008 Wind Indicator Lighting ________ EA ¥___________ ¥____________

0009 Isolation Transformer for LED ________ EA ¥___________ ¥____________ Taxiway Edge Light

Est. Total Amount of Area 2 ¥____________

Area 3:

0001 Cable 1/C #8 AWG 5KV Type C ________ M ¥___________ ¥____________

0002 Cable 1/C #6 AWG 5KV Type C ________ M ¥___________ ¥____________

0003 Ventilation ________ EA ¥___________ ¥____________

0004 L-828 4KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR

0005 L-828 7.5KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR

0006 L-828 10KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR

0007 L-828 15KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR

0008 L-828 30KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR

0009 L-828 4KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR Ferroresonant w/Series Circuits & Cabinet

0010 L-828 7.5KW 50Hz Switchgear ________ EA ¥___________ ¥____________ Type CCR Ferroresonant w/Series Circuit Cutouts & Cabinet

0011 300KW 380/220V 3Ph 4Wire 50Hz ________ EA ¥___________ ¥____________ Standby Gen Set w/Tank

0012 Movable 208/120V 300KW 3Ph ________ EA ¥___________ ¥____________ 4Wire 50Hz Generator

0013 800A 4Pole Auto Transformer Switch ________ EA ¥___________ ¥____________ w/Isolation By-pass

0014 3.3KV med voltage load break switch ________ EA ¥___________ ¥____________

0015 Unit Substation Nema 3R Enclosure ________ EA ¥___________ ¥____________ 500A KVA Transformer 6.6KV 50Hz 125E Fuse 800A CB 1200A Switchboard

0016 75KVA 380-120/280V 3P 4W 50Hz ________ EA ¥___________ ¥____________ Transformer NEMA 1 Enclosure

0017 800A 3 Pole Enclosed Circuit Breaker ________ EA ¥___________ ¥____________

0018 1200A 380/220 3P 4W 50Hz ________ EA ¥___________ ¥____________ Switchboard

0019 125A 120/208V 3-pole 4-wire ________ EA ¥___________ ¥____________ 50Hz Panel Board

0020 L-847 2 Circuit Selector Switch ________ EA ¥___________ ¥____________

0021 Airfield Control Equipment ACE2 ________ EA ¥___________ ¥____________ ALCMS interface

0022 37.5KVA 380-2400V 1P 3W 50Hz ________ EA ¥___________ ¥____________ Transformer NEMA 1 Enclosure

0023 5KVA 208-480V 1P 3W 50Hz ________ EA ¥___________ ¥____________ Transformer NEMA 1 Enclosure

0024 25KVA 380-3.3/5.715KV 120V ________ EA ¥___________ ¥____________

50Hz 1P 3W Transformer NEMA 1 Enclosure

0025 225KVA 380-3.3KV 3P 4W120V ________ EA ¥___________ ¥____________

50Hz 1P 3W Transformer NEMA 1 Enclosure

0026 Magnetic Contactor 20A 2Pole 210V ________ LS ¥___________ ¥____________

Est. Total Amount of Area 3 ¥____________

Area 4:

0001 Cable 1/C #8 AWG 5KV Type C ________ M ¥___________ ¥____________

0002 LED L-861T Elevated Taxi Light ________ EA ¥___________ ¥____________ Fixture & Transformer w/Base Plate & Can

0003 L-867 Size D Junction Can w Plate ________ EA ¥___________ ¥____________

0004 L-858 Taxiway Sign w/L867 Base ________ EA ¥___________ ¥____________ Transformer w/3 Modules

0005 LED L-852T Semi Flush Taxiway ________ EA ¥___________ ¥____________ Edge Light w/Transformer

0006 LED L-852T Semi Flush Taxiway ________ EA ¥___________ ¥____________ Edge Light w/Transformer & Can

0007 Isolation Transformer for LED ________ EA ¥___________ ¥____________ Taxiway Edge Light

Est. Total Amount of Area 4 ¥____________

Est. Total Amount of All Areas ¥________________

NOTE:

a. Transportation of these items shall be in accordance with Section I, Contract Clause DFARS

252.247-7023, Transportation of Supplies by Sea (MAY 2002).

b. Disposition of Surplus U.S. Materials, Supplies or Equipment:

In the event the U.S. Government and contractor agree that title to any surplus contractor-furnished U.S. Materials, supplies or equipments which have been exempted from Japanese Custom Duties or Taxes pursuant to Article XI of the Status of Forces Agreement will remain with the contractor, the disposition of such property accruing from the performance of this contract shall be the responsibility of the contractor. The contractor further agrees to make a full disclosure of such settlement to the local Government customs authorities for the payment of applicable duties and taxes.

REFERENCE PUBLICATIONS

• AFI32-1043MANAGING, OPERATING, AND MAINTAINING AIRCRAFT ARRESTING

SYSTEMS

• UFC 3-535-01 DESIGN STANDARDS FOR VISUAL AIR NAVIGATION FACILITIES